NPIMap

Organization Active NPI

Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1750335808
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABCARE GROUP EAST, LLC
Practice address
4301 NW 63Rd St
Suite 304
Oklahoma City, OK 73116
Phone
(405) 858-8737
Fax
(405) 879-0247
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terrance K. Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4301 NW 63Rd St
Suite 304
Oklahoma City, OK 73116

Mailing address

4301 NW 63Rd Street
Suite 304
Oklahoma City, OK 73116-1549
Phone (405) 858-8737

Other identifiers 1

IdentifierTypeStateIssuer
200100810AMedicaidOK

Other names 1

  • RehabCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000180 OK Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0042128894 Practice locations: Oklahoma City, OK

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4685 Chumuckla Hwy
Pace, FL 32571
Phone (850) 293-7393

3875 Yorktowne Blvd
Port Orange, FL 32129
Phone (386) 406-6741

439 S Kirkwood Rd
Ste 200
Saint Louis, MO 63122
Phone (314) 822-6285

850 N Clear Springs Rd
Mustang, OK 73064
Phone (405) 376-2872

151 48th Ave SW
Norman, OK 73072
Phone (405) 310-4499

12001 N MacArthur Blvd
Oklahoma City, OK 73162

4301 NW 63rd St
Ste 30473116
Oklahoma City, OK 73116

1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400

887 Woodlawn Rd
Crossville, TN 38555
Phone (931) 287-2557

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1750335808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD STREET",
            "address_2": "SUITE 304",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161549",
            "telephone_number": "405-858-8737",
            "fax_number": "405-879-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "SUITE 304",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-858-8737",
            "fax_number": "405-879-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200100810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.